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A client with a history of atrial fibrillation is prescribed amiodarone. Which instruction should the nurse include?
- A. Avoid exposure to sunlight
- B. Take the medication with grapefruit juice
- C. Increase intake of potassium-rich foods
- D. Report any chest pain immediately
Correct Answer: D
Rationale: For amiodarone in AF, report chest pain is key, not sunlight, grapefruit, or potassium. Chest pain flags pulmonary toxicity or arrhythmia serious risks unlike photosensitivity (less urgent), juice interactions (not major), or potassium (unrelated). Leadership stresses this imagine dyspnea; it ensures safety, aligning with cardiac care effectively.
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The nurse is applying a decision-making process to a clinical challenge. When applying this process, the nurse must:
- A. analyze the root causes of a situation
- B. begin by solving the underlying problem
- C. choose between different courses of action
- D. prioritize the maximum good for the maximum number of people
Correct Answer: C
Rationale: In nursing, decision making involves selecting a course of action, as this nurse must do amidst a clinical challenge. Analyzing root causes or solving problems first are steps within problem solving a systematic subset of decision making but the core act is choosing, like opting for one treatment over another. Prioritizing the maximum good aligns with utilitarian ethics, but nursing often lacks the scope for such broad impact in single decisions. For instance, faced with a patient's deteriorating vitals, the nurse chooses between immediate intervention or monitoring, weighing options based on data and protocols. This choice-driven process, distinct from exhaustive analysis, empowers nurses to act decisively in dynamic settings, ensuring patient safety and care quality, a critical leadership skill in managing clinical uncertainties effectively.
A client with a history of hypertension is prescribed lisinopril. Which instruction should the nurse include?
- A. Monitor for a persistent dry cough
- B. Increase intake of potassium-rich foods
- C. Take the medication with meals
- D. Stop the medication if you feel dizzy
Correct Answer: A
Rationale: For lisinopril in HTN, monitor for dry cough, not potassium, meals, or stopping. ACE inhibitors cause cough potassium's risky, food's fine, dizziness needs MD. Leadership teaches this imagine hacking; it ensures awareness, aligning with HTN care effectively.
Which of the following is expert power
- A. Leader can exercise power as a result of their position in the organisation
- B. Leader has power because of their expert knowledge
- C. Leader has power because subordinates trust him/her
- D. Leader can punish staff who do not comply with instructions
Correct Answer: B
Rationale: Expert power stems from knowledge not position, trust, or punishment. Nurse leaders like clinical specialists wield this, contrasting with formal authority. In healthcare, it builds credibility, aligning leadership with skill.
Which of these isn't a Behavior Style?
- A. Promoter
- B. Directors
- C. Actors
- D. Thinkers
Correct Answer: C
Rationale: Actors aren't a style, unlike promoter, directors, or thinkers. Nurse managers like directing tasks use styles, contrasting with unrelated terms. It's key in healthcare for roles, aligning leadership with behavior (assumed C).
The old client had to walk along the hall to reach the examination room. During assessment the nurse hears an S4. Which is the best intervention at this moment?
- A. Practice an EKG
- B. Administer nitroglycerin sublingual
- C. Allow rest recumbent for 30 minutes
- D. Call MD immediately
Correct Answer: C
Rationale: An S4 in an elder post-walk suggests diastolic stiffness the nurse allows 30 minutes recumbent rest, not EKG, nitroglycerin, or calling. S4 often reflects aging or exertion, not acute ischemia; rest distinguishes transient from persistent findings. EKG or nitroglycerin assumes angina, and calling escalates prematurely. Leadership opts for this imagine a tired patient; rest clarifies if S4 persists, guiding next steps. This reflects nursing's prudent assessment, ensuring accurate cardiac care in geriatrics effectively.